| Entity Name: | BAYA BARIATRICS URGENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Dec 2008 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000108815 |
| FEI/EIN Number | 800318884 |
| Address: | 1688 SE BAYA DR, 106, LAKE CITY, FL, 32025 |
| Mail Address: | 1688 SE BAYA DR, 106, LAKE CITY, FL, 32025 |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962641498 | 2009-02-06 | 2009-02-06 | 373 SE COUNTRY CLUB RD, LAKE CITY, FL, 320254987, US | 373 SE COUNTRY CLUB RD, LAKE CITY, FL, 320254987, US | |||||||||||||||||||||||
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| Phone | +1 386-755-8909 |
Authorized person
| Name | MRS. DENISE CONE |
| Role | BILLING MANAGER |
| Phone | 9044065400 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | PA2310 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER # |
| Number | 47520 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WINDHAM JOHN G | Agent | 1688 SE BAYA DR, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| WINDHAM JOHN G | Director | 514 SE FRITZI CT, LAKE CITY, FL, 32025 |
| WINDHAM LESLIE E | Director | 514 SE FRITZI CT, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-04 | 1688 SE BAYA DR, 106, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-04 | 1688 SE BAYA DR, 106, LAKE CITY, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-04 | 1688 SE BAYA DR, 106, LAKE CITY, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-18 |
| ANNUAL REPORT | 2010-05-04 |
| ANNUAL REPORT | 2009-02-24 |
| Domestic Profit | 2008-12-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
